本文選題：瘧疾 + 鏡檢��； 參考：《中國血吸蟲病防治雜志》2017年01期

【摘要】：目的對(duì)武漢市東西湖區(qū)醫(yī)療衛(wèi)生機(jī)構(gòu)瘧原蟲鏡檢能力建設(shè)情況進(jìn)行調(diào)查分析,為實(shí)現(xiàn)消除瘧疾目標(biāo)及今后瘧疾防治工作提供科學(xué)依據(jù)。方法收集2010-2015年東西湖區(qū)15家瘧原蟲鏡檢站硬件設(shè)施情況以及鏡檢人員基本信息,并進(jìn)行統(tǒng)計(jì)分析;此外,對(duì)該階段全區(qū)陰性血片制作、染色、清潔度合格情況進(jìn)行評(píng)價(jià),對(duì)陽性血片進(jìn)行復(fù)核。結(jié)果 15家瘧疾鏡檢站有鏡檢人員28人,合格顯微鏡9臺(tái);一、三級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)鏡檢人員年齡以40~50歲為主,二級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)以20~30歲為主;一、三級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)鏡檢人員從事鏡檢工作年限多在15年以上,二級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)則多在10年以下;一級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)鏡檢人員學(xué)歷以大專為主(占50.00%),二、三級(jí)醫(yī)療衛(wèi)生機(jī)構(gòu)以本科為主。2010-2015年全區(qū)共血檢8 561例,復(fù)核陰性和陽性血片539張,符合率均為100%,血片制作、染色、清潔度平均合格率分別為82.08%、79.92%、83.33%。2015年血片制作合格率(χ~2=26.45,P0.01)、染色合格率(χ~2=16.85,P0.01)、清潔度合格率(χ~2=13.93,P0.01)均高于2010年。結(jié)論東西湖區(qū)瘧原蟲鏡檢能力建設(shè)已明顯提高,但應(yīng)進(jìn)一步推進(jìn)區(qū)內(nèi)瘧原蟲鏡檢站人才梯隊(duì)建設(shè)和硬件投入,堅(jiān)持基層鏡檢質(zhì)控考核工作,以保障瘧疾防治工作持續(xù)健康發(fā)展。
[Abstract]:Objective to investigate and analyze the capacity construction of malaria parasite microscopic examination in medical and health institutions in Dongxihu District, Wuhan City, so as to provide scientific basis for achieving the goal of eliminating malaria and controlling malaria in the future.Methods from 2010 to 2015, the hardware facilities and basic information of 15 malaria parasite examination stations in Dongxi Lake region were collected and analyzed statistically, in addition, the negative blood smears were made, stained, and the cleanliness were evaluated.The positive blood smears were reviewed.Results there were 28 mirror workers and 9 qualified microscopes in 15 malaria examination stations. First, the age of the third level medical and health workers was mainly 40 to 50 years old, and the second level medical and health institutions were mainly 20 to 30 years old.Most of the mirror inspectors of the tertiary medical and health institutions have worked for more than 15 years, while those of the second-level medical and health institutions are more than 10 years old, while the primary medical and health institutions have a major degree of education (50.00000, II).A total of 8,561 blood tests were performed in the tertiary medical and health institutions from 2010 to 2015, with 539 negative and positive blood smears. The coincidence rate was 100%. Blood smears were made and stained.Conclusion the ability construction of malaria parasite microscopic examination in Dongxi Lake region has been improved obviously, but the construction of talent echelon and hardware input should be further promoted, and the quality control examination work of primary level mirror examination should be adhered to in order to ensure the sustainable and healthy development of malaria control work.
【作者單位】： 湖北省武漢市東西湖區(qū)疾病預(yù)防控制中心;
【分類號(hào)】：R531.3

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